1340 Ocean Blvd window 2013 v
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002017 Date 1/31/13
Property Address . . . . . . 1340 OCEAN BLVD
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4959
----------------------------------------------------------------------------
Application desc
replace 6 windows
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
COONEY, MATTHEW R. SEARS HOME IMPROVEMENT
1340 OCEAN BLVD. 1024 FLORIDA CENTRAL PARKWAY
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 470-0115
----------------------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . Valuation . . . . 4959
Expiration Date . . 7/30/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total 37 . 50 37 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 116 . 50 116 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
01/17/2013 15:19 FAX 407 282 8558 Q0001/0017
BUILDING PERmrr APPLiCATION � 'T P
Crry OFATumic BEACH T
800 Seminole Road,Atlantic Beach,FL 32233 rr
Office(904)247-5826 Fax (904)247-5845 JA A/ 17 2013
Job Addrm: Permit Number.
Legal Description A(416,b)tL Pik Sq Parcel# 1 -7 IC2 - !2=
Floor Axe/a of Sq.Ft. Sq.Ft
Valuation of Work s-9-9
Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa ��;door
Use of existing/proposed structure(s)(circle one): Commercial �fResidential
if an existing structure,is a fin sprinkler system installed?(Circle one): e 0 N/A
Florida Product Approval# 109-ZAM A �\ , 1 0 0 q3 mull(OfAs-
For multiple products use product approval fbim
Describe in detail the rAx of work to be performed: R-0 D rA -S
0 Im 9% a 9% 9
L!i L it
HLL bu
ProReM Owner Information:
Name: Address: 1A n Q, -(-10
!DA2jG�t_elp
n a kWU it) ;?-33-Phone �(04
city
E-Mail or Fax#(Optional
Coptrador Informatign:
Company Name: Saa_"n Oualil�bgAgent: Ll iliq v-I
Address: 10 Zq .EL City LC�13(4"2CCd Sta ,P C- zip
Jo ite/Contact Fax#- qQ2_&�ez_SkCZ
Office Phone U 0 1— q- .. -
State Certification/Registration# .0C,L rz 1Z7!S:"3'3i1 DVI
Architect Name&Phone# I CITY0 'C REACH-
Enginm's Name&Phone Nhh_Pr MITS FOR A!DDITIONAL
Fee Simple Title Holder Name and Addres Sa^,O- CO
"'QUMEMbN -SAND CONMDITIONS.
Bonding Company Name and Address
Mortgage Lender Name and Address 11 REVIEWED 4 4
'or
nced prior to the
Application is hereby made to obtain apqrmit to do the work and installations as indicated Ic rt�,Ktatnow
issuance ofa permit and that all work will be pe ormedto meet the standards Ofall laws regulating construction in thisjurisdiction. This permit becomes nuli
)months, or if construction or work is suspended orn ny time V er
rf dxvidoneyfor months at a
ork, PiumUng, ikns, SMU" Bo&n, Pea elm
and void ff work is not commenced within six(6 a4�p"f , rnaces,
work is commenced I understand that separate permits must be seew-edfor EkMcal W S
Tanks andAir CondhUnem aa
WARNING TO OVA4ER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO
YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMLENCEMENT.
Ihere and know the same to be true and correct. Allprovisions oflaws and ordinances governing thh,
cerofy that I have read and examined this rd teanteji9nn or not. The granting of a permit does not presume to give authority to violate or cancel t;m
Inv V rk will be complied with whether spec
0 WON
provisions ofany otherfederal,state,or local law�egulafing construction or the peFfioi7nance ofconstruction.
Signature of Owner 4/' 'z"'
Print Name A Ir t tarw ( L e d vyat
Sworn to and subscribed before me
this i Day of t V1 UAC 2013 ,.:I'`•' JEANA YOUNG
*' ', MY COMMISSION#EE084507
EXPIRES June 16,2015
Notary Public 39"153 �10M°iN041 001"
Signature of Con _
Print Name
(�fed
Sworn to and subscribed before me � JEANA YOUNG
2013
this JL Day of�Q r'1 �U �; '`e MY COMMISSION#EE084507
EXPIRES June 16,2015
101 7fe-0169 f ,ppm
Notary Public
RIts d 01.26.10
Doc # 2013017115, OR BK 16222 Page 1836, Number Pages: 1, Recorded
01/18/2013 at 02:47 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
Prepared By: 31 d
Return to:Sears Honie Imp ment Products, Inc
1024 Florida Contra]Parkway, Longwood,FL 32750
NOTICE OF COMMENCEMENT
State of Flo
County of Vaua-(
Parcel I D: t-71%1 - CCOCI Permit
The undersigned hereby gives notice that Improvement will be made to certain real property.In accordance
with Chapter 713,Florida Statutw the following Information Is provided In the Notice of Commencement:
1. Legal descrigbon of Property(and street adcVess if available):
ill2irida-laQ �6+ 3 911C � i3go (J1C ,0,0y\- hd/u(�t,
2.General description of improvement: Uipk ag 01 n(JtWQS
I --
3 a.Owner name/address: LbrW 13q-C)--C)Q eciq
b. Interest in property:
J Elf h2,11L M�,
c, Name and address of fee simple Ift holder(if other than owner): 1;— — 3
4. Contractor Name and Address:SEARS HOME IMPROVEMENT PRODUCTS, IN ,
1024 FLQRIDA CENTRAL PARKWAY,LONGWOOD,FL 32750
Phone:407-551-6000 Fax:407-767-8536
5. Surety—Name and Address:
Amount of bond:$
6. Lender—Name and Address: ).A1tA--
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by Section 713.13(l)(a)7, Florida Statutes:
8. In addition to him/herseff, Owner designates the following person(s)to receive a copy of the Lienor's
Notice as provided in Section 713.13(l)(b), Florida Statutes[Provide Name/Mailing Address):
9. NOC expiration date(one full year from the date of recording unless different date is
specified):
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE
OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION
713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE
BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
VedficsUon pursuant to Section 92.525,Florida Statutes:Under penalties of perjury,I declare that I have read
the foregoing and that the facts stated In It are true to the best of my knowkK[ge and belief.
.Tignalure of Owner/A Natural Person (or Owner's AuthorilQ Officer/Diredor/Partner/Manager)
The for i instrume w acknowledged before me this--L—O day of--�QJ3---2041
by (print name of person)as rmu[ILA (type of
auth�y)tor of party on behalf of whom instrument was executed).
�C-
Notary Public Personally Known -OR-Produced Identification
JEANA YOUNG
My COMMISSION#EE084507
EXPIRES June 16,2015
2/28/12 Property Appraiser-Property Details
COONEY MATTHEW R Primary Site Address Official Record Book/Pacie Tile #
1340 OCEAN BLVD 1340 OCEAN BLVD 03402-00479 9416
ATLANTIC BEACH,FL 32233-5744 Atlantic Beach FL 32233
1340 OCEAN BLVD
i Property Detail Value Summary 2012 Certified 2013 In Progress
RE # 171848-0000
Value Method CAMA
USD3 CAMA
Total Building Value $119,336.00 $118,177.00
Em—eKlix—Use FAMILY ......
Extra Feature Value $1,497.00 $1,463.00
Land Value(Market) $194,000.00 $194,000.00
16-2S-29E ---......
Legal Desc. MANDALAY Land VajueJAqr[g.J $0.00
$0.00
Subdivision 03126 MANDALAY Just(Market)Value $314,833.00 $313,640.00
Total Area 6216 Assessed Value $150,399.00 $150,399.00
—1-111.111--...........
The sale of this property may result in higher property taxes. For more information go to Cap Diff/Portability Amt $164,434.00 $0.00 $163,241.00 $0.00
Save Our Homes and our PropertvTax Estimator. Property values,exemptions and emotions $50,000.00 See below
other information listed as'In Progress'are subject to change.These numb——part
Taxable Value $100,399.00 See below
of the 2013 working tax roll and will not be certified until October. Learn how the
Proi)erty Appraiser's Office values prorwrty.
Taxable Values and Exemptions—In Progress
If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value
Summary box.
County/Municipal Taxable Value SIRWMD/FIND Taxable Value School Taxable Value
Assessed Value $150,399.00 Assessed Value $150,399.00 Assessed Value $150,399.00
........................................................................................................... ............................................................................................................ .........................................................................................................
Homestead Exemption(HX) -$25,000.00 Homestead Exemption(HX) -$25,000.00 Homestead Exemption(HX) -$25,000.00
........................................................................................................... ........................................................................................................... .......................................................................................................
Amend 1 Homestead(HB) -$25,000.00 Amend 1 Homestead(HB)........................ Taxable Value $125,399.00
............................................................................................................ .....................................................
Taxable Value 4100,399.00 Taxable Value $100,399.00
Sales History
Book/Page 'I Sale Date i Sale Price Deed instrument Type Code %LalifledLqn Vacant/Improved
_qualified
03402-00479 $100.00 '1 QC-Quit Claim Unqualified Improved
03402-00480 19/8/1972 $11,000.00 WD-Warranty Deed Unqualified i Improved
Extra Features
LN dg. !Length Width Total Units Value
i,Egqtgre Code Feature Description B1
0 $540.00
1 FPMR7 Fireplace Masonry 0 1.00
18 64.00 $202.00
2 1 SHWR2 Shed Wood 8
18 72.00 $721.00
9
3 CVPR2 Covered Patio
Land &Legal Lecial
Land
Land LN Legal Description
ZonjMl Front Depth Category Units LABA Type Land Value
16-2S-29E
LN,Code 1 Use Descrip r.nt Dep
T1.d. I Z r) t7.o. i M�F
Front MANDALAY
RES LD 3-7 UNITS PER $19 0 2
1 0100 AC ARS-2 50.00 127-00 Common 5 0.00 Footage 4,000.0
LOT 3 BLOCK 54
3
14 DOBE I O/R BK 2673-76
Buildings
Building 1 ---
Building 1 Site Address FEI.--.nt Code Detail 7
1340 OCEAN BLVD F
Atlantic Beach FL32233 Exterior Wall 17 17 C.B.Stucco I.P 'ADT
1, Exterior Wall 6 6 Vert Sheet Siding
Building Type 1 0101-SFR 1 STORY SOH Roofing Structure 3 3 Gable or Hip
Y,,�Built 1951 Roofing Cover 3 3 Asph/Comp Shingle
1
Building Value $118,177.00 Interior Wall 5 5 Drywall
Int Flooring 12 12 Hardwood
e
ss Heated Effective Int Flooring 11 ilCeramic Clay Til
Gro
UR_e Area Area Area Heating Fuel 14 4 Electric
se Area 1472 1472 1472 Heating Type 4 4 Forced-Ducted
Finished Open 240 0 72 Air Conditioning 1.3 3 Central
Porch
Addition i Jbu 360 324
i Code
Element
Finished Open 27 1.000
90 1 U Stones
Porch
2.000 1
Tota 2162 1832 1895 Bedrooms
pps.coj.net pao_pro pertySearc h/Basic/D etai 1.as px?RE 17 18480000
City of Atlantic Beach
APPLICATION NUMBER
Building Department a
(To be assi�by 0*Bt"V D40heri,
Seminole Road
Atlantic Beach, Florida 32233-5445 13 - u /I
Phone(904)247-5626 - FaX(904)247-5M5
E-mail: bUilChng-cL-pt@?coab.us FDate rotAed-
Cityweb-site. ht1PWwww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: e�A-Al SIV6( -Depa ent review uired Yes
Applicant: /'&n� 11PP1-dVi'*m-r Building
nning&Zoning
Project: Tree Administrator
Public Works
Public Utilities
Public Wety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
Flodda Dept. of Environmental Protection Of Permit Verified By
Florida Dept of Transportation
St Johns Mver Water Management District
L"y Coips of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages a To
0#W:
APPLICATION STATUS
I'tReviewing Department First Review: Approved. ElDenied.
Cir Comments:
PLANNING&ZONING
TREE ADMIN. Reviewed by: Date.
Second Review: EIAPPrOved as revised- E]Deniv
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date.
FRRE SERVICES Third Review: ElApproved as revised. ElDenied.
Comment--:
Reviewed by: Date:
FeyLsad 0727110
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tProkssion FRe
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'wi I myl,
Publications FBC Staff BCIS Site Map Links Search
')rid�DE Me Log In User Registration Hot Topics Submit Surcharge Stats&Facts
BCIS Home
1)d ent%
ri�"
Busines Product Approval
Professibnal (�C-"'AIJSER:Public User
ljid�110 1-11
Product Approval Menu>Product or Application Search>Applicat on List >Application Detail
FL# FL10924-R2 2
Application Type Revision
Code Version 2010
Application Status Approved
'Approved by DCA.Approvals by DCA shall be reviewed and ratified
by the POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Wincore Window Company, LLC
Address/Phone/Email 250 Staunton Avenue
Parkersburg,WV 26104
(304)485-7460 Ext 228
mreed@wincorewindows.com
Authorized Signature Mike Reed
mreed@wincorewindows.com
Technical Representative Mike Reed
Address/Phone/E mail 250 Staunton Turnpike
Parkersburg,WV 26104
(304)485-7460 Ext 228
mreed@wincorewindows.com
Quality Assurance Representative Mike Reed
Address/Phone/Email 250 Staunton Turnpike
Parkersburg,WV 26104
(304)485-7460 Ext 228
mreed@wincorewindows.com
Category Windows
Subcategory Double Hung —1 X
Compliance Method Certification Mark or Listing
Certification Agency National Accreditation & Management Institute,
Validated By National Accreditation & Management Institute,
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA lol/I.S.2/A440 2005
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
rww.floridabuilding.org/pr/pr—appjtl.aspx?param=wGEVXQMDqvihT9G9wJlk4088qR20bs`/*2f6jKx...
-11-�ullullly�Uuv�111111t'
Date Submitted 02/17/2012
Date Validated 02/20/2012
Date Pending FBC Approval
Date Approved 02/22/2012
Summary of Products
JFL # Model, Number or Name Description
110924.1 7700 Series, 9900 Series Double 7 7 00 Series, 9900 Series Vinyl Double Hung 48 x 72
Hung DP45
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL10924 R2 C CAC NIO10865.02.pd
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 12/31/2015
Design Pressure: +45/-45 Installation Instructions
Other: FL10924 R2 1] 48 x 72 DP45.nd
Verified By: National Accreditation &Management
Institute,
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
110924.2 7700 Series, 9900 Series Double 7700 Series, 9900 Series Vinyl Double Hung 37 x 76
Hung DP50
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL10924 R2 C CAC N1010865.06.:)df
Approved for use outside HVHZ: Yes i Quality Assurance Contract Expiration Date
Impact Resistant: No 12/31/2015
Design Pressure: +50/-50 Installation Instructions
Other: FL10924 R2 11 37 x 76 DP50.pdf
Verified By: National Accreditation &Management
Institute,
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
10924.3 7700 Series, 9900 Series Double 7700 Series, 9900 Series Vinyl Double Hung 56 x 84
lHung DP25
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL10924 R2 C CAC NIO10865.05.pd
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 12/31/2015
Design Pressure: +25/-25 Installation Instructions
Other: FL10924 R2 11 56 x 84 DP25.pdf
Verified By: National Accreditation &Management
Institute,
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
10924.4 7700 Series, 9900 Series Double 7700 Series, 9900 Series Vinyl Double Hung 52 x 72
jHung DP40
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL10924 R2 C CAC NI010865.03j)df
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 12/31/2015
Design Pressure: +40/-40 Installation Instructions
Other: FL10924 R2 11 52 x 72 DP40,i)d
Verified By: National Accreditation &Management
Institute,
created by independent Third Party:
Evaluation Reports
Created by independent Third Party:
Contact Us:i 1940 North Monroe Street,Taliahassee FL 32399 Phone�850-487-1824
The State of Florida is an AA/EEO employer.copyright 2007-2010 State of Florida, ::Privacy Statement ::Accessibility State M=::Refund Statement
rww.floridabuilding.org/pr/pr—app_dti.aspx?,param=wGEVXQv,ttDqvihT9G9wJlk4O88qR2Qbs*/*2f6jKx... 24
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/22/12 Florida Building Code Online
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BCIS Home Log I n User Registration Hot Topics Submit Surcriarge Stats&Facts Publications FBC Staff BCIS Site Map LiniG Search
Busines
i�zf, Product Approval
USER:Public User
Professk h I
j m,1 1,1 Product Approval Menu>Product or Application Search>Application List >Application Detail
FL # FL10098-R2
Application Type Revision
2010
Code Version
Application Status Pending FBC Approval
Comments
Archived
Product Manufacturer Wincore Window Company, LLC
Address/Phone/Email 250 Staunton Avenue
Parkersburg, WV 26104
(304) 485-7460 Ext 228
mreed@wincorewindows.com
Authorized Signature Luis Lomas
rllomas@lrlomaspe.com
Technical Representative
Address/Phone/Emal I
Quality Assurance Representative
Address/Phone/Emal I
Category Windows
Subcategory Mullions %
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report- Harcicopy Received
Florida Engineer or Architect Name who developed the Luis R. Lomas
Evaluation Report
Florida License PE-62514
Quality Assurance Entity National Accreditation&Management Institute,
Quality Assurance Contract Expiration Date 12/31/2015
Validated By Steven M. Urich, PE
,:: Validation Checklist- Hardcopy Received
Certificate of Independence FL10098 R2 C01 FLCOI.I)df
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
Sections from the Code 1715.5.5
Product Approval Method Method 2 option B
Date Submitted 02/15/2012
Date Validated 02/20/2012
Date Pending FBC Approval 02/27/2012
SummarV of Products
Model, Number or Name I Description
FL#
tww.flo rid abu ild in g.org/pr/pr—app—dtl.aspx?param=wGE VXQwtDqtTtctwn U D A9fAcyQgC e Lye xJsBR7...
/22/12 Florida Building Code Online
1 UU96.1 ix3 btructural mumon, morizontal i ix3 btrLJCtUral mullion, Horizontal with ou I i nose cup and t)racKet
!clip........
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10098 R2 II 08-00356B.i)df
Verified By: Luis R. Lomas 62514
Approved for use outside HVHZ: Yes
Impact Resistant: Yes Created by Independent Third Party: Yes
Evaluation Reports
Design Pressure* N/A
Other: See design pressure charts in installation drawing. FL10098 R2 AE 10500B.odf
Created by Independent Third Party: Yes
10098.2 10 Structural Mullion, Vertical 1x3 Structural Mullion, Vertical with bull nose clip and bracket clip
Limits of Use installation Instructions
FL10098 R2 11 08-00355B.Ddf
Approved for use in HVHZ: No
Verified By: Luis R. Lomas 62514
Approved for use outside HVHZ: Yes
Impact Resistant: Yes Created by independent Third Party: Yes
Evaluation Reports
Design Pressure: N/A
Other: See design pressure charts in installation drawing. FL100 8 R2 AE 510497B,Pdf
Created by Independent Third Party: Yes;
Contact Us:: 1940 North Monroe street.Tallahassee FL 32399 Phone, 850-487-1824
The State of Florida is an AA/EEO employer.Copyright 2007-2010 State of Florida. ::Privacy Statement ::Accessibility Stat ment Refund Statement
Under Florida law,e-mail addresses are public records.If you do not want your e-mail address released in responseto a public-records request,do not send
electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions regarding DBPR's ADA web accessibility,
please contact our Web Master at webmasterOdbpr.state.fl.us.
Product Approval Accepts:
1--70 M
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Sears
1024 Florida Central Parkway,Longwood,FL 32750 PH:407-551-6000
September 2012 LETTER OF AUTHORIZATION
C-No Co-'ean 004 ,
1, Alfred W. Nyman, Jr., Assistant Secretary and Florida State Qualifier for Sears Home
Improvement Products, Inc., grant permission to Jeana Young and her associates, Chris Young
and Cynthia Luedke and Jennifer Rupert to submit permits and licenses, pick up permits and
licenses, make changes to permits, licenses and plans and initial changes made by the building
department on behalf of Sears Home Improvement Products,Inc.
I also grant permission to jeana Young and her associates, Chris Young and Cynthia Luedke
and Jennifer Rupert to purchase permits and/or licenses with a company check,personal check,
personal credit card or cash.
I certifiy that the above information is true and correct.
Alfred-V�- �Tyman,Jr.,YA tar - and
Florida State Qualifier (CGCO12538, (CM 1249510),
(CCC1329316)
Sears Home Improvement Products,Inc.
STATE of Florida
COUNTY of Seminole
SWORN TO AND SUBSCRIBED BEFORE ME THIS 10th day of September 2012,by Alfred W.
Nyman,Jr.,Assistant Secretary for Sears Home Improvement Products,Inc. and who is X
personally know to me or has produced a valid Drivers License.
DEBORAH P.PHiWPS PrintName: Deborah P. Phillhi s
MY COMMISSION#EE 090281 Notary Public,State of Florida
EXPIRES:August 13,2015
t. .... Commission#: EE 090281
,V Bonded Thru Notary Public Underwriters
My COMMISSION EXPIRES: Aug. 13,2015